Essential Training At Your Finger Tips

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"Defensible documentation" refers to charting that can withstand scrutiny from various medical reviewers aiming to recoup payments for unnecessary or inappropriate care. In legal contexts, it provides clear evidence of the care provided, by whom, and when. Simply following an electronic medical record (EMR) template may not suffice.  This presentation examines real denial examples, identifies their causes, and offers charting examples to address them. A condensed overview of essential home health coverage requirements for nursing and therapy, as outlined in the Medicare Benefit Policy Manual (Chapter 7, Section 40) and 42 CFR, equips attendees with foundational regulatory knowledge. Linking Medicare rules and regulations to charting requirements enables clinicians to demonstrate compliance effectively.  By implementing meaningful, well-documented skilled visits, agencies can achieve favorable outcomes in various reviews, including the Home Health Value-Based Purchasing Model (HHVBP), Targeted Probe and Educate (TPE), Unified Program Integrity Contractor (UPIC), Supplemental Medical Review Contractor (SMRC), Recovery Audit Contractor (RAC), and Comprehensive Error Rate Testing (CERT) reviews. Defensible documentation is also crucial in supporting Medicare Advantage services and Medicaid claims.  Speaker/Course Author - Joe Osentoski, BAS, RN, GERO-BC Read more

Join us for an insightful webinar on post-hospitalization syndrome (PHS) and its impact on patients being managed in home health. This engaging event will empower home health agencies to recognize the syndrome, assess patient risk factors, and implement effective strategies for improved care and reduced readmissions. Don't miss this opportunity to enhance your knowledge and elevate the quality of care you provide.   Speaker/Course Author - Monika Virk, M.D. Read more

Enhance your sales expertise with advanced strategies focused on the strategic expansion of clinical populations. In this session, the speaker will delve into innovative approaches for identifying, targeting, and engaging specific clinical populations, propelling your home health agency's growth to new heights. Gain insights into effective sales techniques that align with the unique needs and preferences of distinct clinical groups, optimizing your agency's market presence and fostering sustainable growth. Seize this opportunity to refine your sales strategy and unlock the potential for targeted clinical population expansion.  Speaker/Course Author - Melynda Capps Lee, MBA, MA Read more

There is no silver bullet to the current workforce crisis the health care industry is facing. No one can "solve" the problem and magically eliminate the shortages we face. Those are facts. However, you can do something about it. This session will offer a message on how true leadership can ensure your organization thrives in the race to acquire and retain talent. Attendees will walk away feeling inspired to lead their teams positively, fostering a culture that propels talent toward the organization, creating additional value. With a focus on excellent, employee-centric leadership, positive organizational results will follow, and your organization will be positioned for greatness! Speaker/Course Author - Eric Scharber Read more

Join us for an engaging session tailored to Medicare home health professionals eager to enhance their clinical management skills. Presented by J'non Griffin, Principal of SimiTree, this session will explore opportunities for providers to elevate patient outcomes and financial performance by harnessing the power of data and benchmarks. Additionally, we'll delve into the integration of case management strategies into this dynamic discussion, providing a comprehensive approach to healthcare delivery. Participants will learn to navigate the complexities of clinical management effectively, ensuring improved patient care and financial success for your agency. Don't miss this chance to optimize your clinical practices and achieve excellence in home health services. Speaker/Course Author - J'non Griffin Read more

In this informative session, we will explore the upcoming changes to the Medicare Home Health Value-Based Purchasing (HHVBP) model scheduled for 2025. Crafted to elevate the assessment and recognition of high-quality home health care, these adjustments utilize 2023 as a baseline year, emphasizing the need for agencies to proactively acquaint themselves with these modifications. Key Topics: • Measure Replacement and Removal: Understand the changes to the HHVBP measures, including the replacement of the "Discharge to Community" measure with "Discharge to Community Post-Acute Care" and the removal of other measures. • Newly Introduced Potentially Preventable Hospitalization (PPH) Measure: Delve into the implications of the newly introduced PPH measure, which will evaluate and mitigate potentially preventable hospitalizations during home health care. • Consolidated Discharge Function Score: Examine the consolidation of the "Total Normalized Composite Change in Mobility" and "Change in Self-Care" measures into a single measure, which will streamline assessments using Section GG items. • Improving GG Item Responses: Discover the importance of GG items in determining the Discharge Functional Score, which contributes to 20% of the Total Performance Score in value-based purchasing. Learn strategies to enhance clinician familiarity with GG items and ensure accurate Outcome and Assessment Information Set (OASIS) documentation. Equip your agency for the future by acquiring a comprehensive understanding of these changes and formulating strategies to adeptly navigate the evolving landscape of the HHVBP program.   Speaker/Course Author - Melinda Gaboury, COS-C  Read more

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